Can Viagra And Dapoxetine Be Taken Together

Can I Take Viagra and Priligy Together?
Sometimes premature ejaculation (PE) is a problem in men who also have Erectile Dysfunction (ED). ED is the inability to achieve or maintain an erection that is firm enough for satisfactory sexual intercourse. 1 PE is where a man ejaculates too quickly after initiation of sexual intercourse. The definition of ‘too quickly’ is not set in stone, it depends very much on the individual and what the man and his partner deems satisfactory. PE may be caused by ED, especially in a man who needs continued penile stimulation to maintain his erection. 2.
Viagra is a treatment for ED, and Priligy is a treatment for PE. These medications cannot be taken together. Both medications cause the effect of lowering of blood pressure. Together, the combined effect may be to reduce blood pressure to a low enough level that symptoms such as fainting will occur (known as orthostatic hypotension). This occurs when there is a drop in blood pressure when the person stands up, and causes dizziness, light headedness and possible fainting. 3 As a result of this known interaction, the safety of these two medications when taken together has not been investigated in clinical trials, and therefore it cannot be recommended that both are taken at the same time. 4.
If both conditions do occur together it is recommended to treat the ED first, as sometimes the PE resolves on its own once the treatment for ED has been started and is helping to treat this condition. 5.
Therefore treatment with a medication such as sildenafil (Viagra) could be initiated and the man should wait and see how his ED improves and if the PE improves with it. The dose of sildenafil can be increased to see the maximum effect if the lowest dose does not satisfactorily improve the condition.
Viagra & Generic Sildenafil.
Select Preferred Strength, Quantity, and Branded or Generic.
Choose between Viagra or Sildenafil. From £2 per tablet.
Viagra and Generic Sildenafil contain the same medically active ingredients.
Product Description.
How does Viagra and Sildenafil work?
Viagra (Sildenafil) helps men to get and maintain an erection when sexually stimulated and/or excited. The medicine relaxes the blood vessels in the penis which results in more blood flowing to the penis when you are sexually excited.
How do I take it?
You should take Viagra (Sildenafil) approximately 1 hour before planning to have intercourse. Within a window of between 30 minutes and 4 hours after you take the medicine, it will be easier to keep and maintain an erection when you are sexually excited. If you take this medicine after a meal with a high fat content it may take a little longer to start working. This medicine will only work when you are sexually excited. You won’t get an erection just by taking Viagra (Sildenafil).
The standard recommended dose for Viagra (Sildenafil) is 50mg and this will be suitable for most people. If this dose is not effective, you can try 100mg and if 50mg gives you side effects you can also reduce the dose to 25mg tablets.
You must not take more than 100mg daily of Sildenafil/ Viagra. Clinical trials have been conducted in patients taking up to 200mg sildenafil and it was found that ‘doses of 200mg did not result in increased efficacy but did increase the incidence of adverse reactions (headache, flushing, dizziness, dyspepsia, nasal congestion, and altered vision).’
In addition, in patients taking more than 100mg daily, there have been reports of rhabdomyolysis (a breakdown in skeletal muscle tissue the byproducts of which can lead to kidney failure), visual perception changes, vertebral artery dissection (a tear in the artery supplying blood to the brain), heart attacks and aggressive behaviour.
If the 100mg strength doesn’t work for you, there may be alternatives you can try and we recommend that you call us for a free consultation with our pharmacist or doctor to discuss any underlying conditions you may have. We recommend that all men taking medicine for erectile dysfunction have regular tests for blood pressure, cholesterol, diabetes and hormone imbalances. For instance, it may be that by fixing a hormone imbalance such as testosterone, your Viagra medication will be even more effective.
In addition, drug manufacturers do not advise patients to split tablets in half to get the correct dosage as they cannot guarantee that the active ingredient will be distributed evenly throughout the tablet. For instance, if you cut a 100mg tablet in two, you may find that you get 80mg in one half of the tablet and 20mg in the other half leading to either an overdose (increased risk of side effects) or a suboptimal dose (the medication may not work).
It is important that you choose the correct dose for you. If you wish to talk to our pharmacist or doctor about this, please contact us in the pharmacy on 01625 460621 or email [email protected]
Viagra (Sildenafil) is normally well tolerated, however, side effects can include:
Side effects normally subside after a few hours, however, if you experience a prolonged or painful erection (longer than 4 hours), then you must contact your doctor immediately.
Drug interactions.
There are a number of medicines which interact with Sildenafil/ Viagra. For an exhaustive list please see the patient information leaflet (see section below) or call us in the pharmacy to discuss your specific situation. The main drug interactions are listed here:
Recreational drugs such as ‘poppers’ or amyl nitrate.
Alpha blockers used for urinary retention or blood pressure problems (eg Flomax or Cardura)
Anti- arrhythmic drugs such as disopyramide.
Antibiotics such as erythromycin.
Antifungals such as itraconazole.
Antivirals such as drugs used to treat HIV.
Calcium channel blockers to treat blood pressure and angina such as amlodipine.
Dapoxetine (Priligy – used to treat premature ejaculation)
Cimetidine (to treat stomach ulcers)
Please do not take Sildenafil/Viagra if you have taken any of the above drugs within the last 60 days without first consulting with either us in the Pharmacy ([email protected] / 01625 460621) or via email with our doctor [email protected]
**We advise not to take Sildenafil/Viagra with grapefruit juice as the blood concentration of Sildenafil will possibly be increased resulting in side effects.
Patient Information Leaflets.
Please click here for the patient information leaflet for Viagra.
For Actavis Sildenafil please see the following leaflets: 100mg, 50mg, 25mg.
Storing Medicines Safely.
Please keep your medicine out of the reach of children and store at room temperature. Unwanted medicine can be disposed of by returning it to any local pharmacy or indeed to us here for us to dispose of it for you.
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Only used one as yet did the same as viagra, At last value for money.
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If the PE does not seem to resolve with the commencement of this treatment, but the ED does improve, there are many other therapies that can be trialled. First and foremost communication between a couple is of the upmost importance in successful treatment. The couple must try to relax, as anxiety will only worsen PE. 2.
Psychological therapy and behavioural therapy can be very useful in the treatment of premature ejaculation. The focus of psychological therapy is to help identify and resolve any issues in the couple’s relationship that may be a cause or contributory factor to the PE. 5 This is important as many psychological factors play a role in the development of PE. Depression, stress, unrealistic expectations about sexual performance and a lack of confidence can all contribute. PE can also be caused by a lack of communication between a couple, hurt feelings or any unresolved conflicts that may potentially interfere in their ability to achieve emotional intimacy. This therapy also helps couples discuss any issues over intimacy that may have occurred because of the condition. This treatment aims to make the man less nervous about his sexual performance and to have greater sexual confidence, which in many cases will aid the resolution of his PE.
Behavioural therapies can also play a role in the treatment of PE. These include exercises to help a man develop tolerance to stimulation and therefore as a result of this, delay his ejaculation. 5 These exercises are known to be effective but do not always represent a lasting solution. Another issue in the use of behavioural therapy is the need for co-operation from the partner of the man, which can sometimes be a problem. The first technique is the squeeze technique. In this technique the partner stimulates the man’s penis until he is close to ejaculation, at which point the partner squeezes the penis hard enough to make him partially lose his erection. This technique aims to teach the man to be aware of the sensations leading up to orgasm, and then hopefully be able to control and delay his orgasm on his own.
The second technique is the start-stop technique. The partner should stimulate the penis until the man is close to ejaculation and then stop all stimulation, until the urge to ejaculate subsides. As the man regains control, he should let his partner know, who should begin stimulating the penis again. The procedure should be repeated a total of three times, and he should be allowed to ejaculate on the fourth stimulation. The couple should practise this technique three times a week, until the man has gained good control. 5 Success rates of 50-60% have been reported with these techniques in the short term. 6.
Drug treatment for PE is with Priligy which is licensed for use in men between the ages of 18 and 64 years old who have an ejaculatory latency time of less than two minutes. Priligy is part of a group of drugs called selective serotonin re-uptake inhibitors (SSRIs). It works by acting on a neurotransmitter called serotonin and slowing down the ejaculatory reflex message to your brain via the sympathetic nervous system. The results of clinical trials have shown that Priligy can extend sexual performance time by 200% to 300%.
In conclusion, it is not uncommon to experience both Erectile Dysfunction and Premature Ejaculation together. In many cases treating ED with a medication such as Viagra will help the ED and as a result of this, the PE will get better. If this does not help the symptoms, treatments that can be trialled to treat PE, include psychological therapy, behavioural therapy and drugs such as Priligy.
References.
Modern Medicine Network: Formulary Watch. http://goo.gl/QJtaik Accessed 02.12.14. American Urological Association: The Management of Premature Ejaculation. http://goo.gl/KONBlK Accessed 02.12.14. Mayo Clinic: Diseases and Conditions. http://goo.gl/kIgCqB Accessed 02.12.14. Summary of Product Characteristics: Priligy. https://www.medicines.org.uk/emc/medicine/28285 Accessed 02.12.14. Urology Care Foundation: Premature Ejaculation. http://goo.gl/QGgmOj Accessed 02.12.14. European Association of Urology: Guidelines on Male Sexual Dysfunction. http://goo.gl/40NPtP Accessed 02.12.14.
Assured Pharmacy is not liable for the currency or accuracy of the information contained in this blog post. For specific information about your personal medical condition, please contact our doctors or pharmacists for advice on [email protected] .